Patient Financial Representative

Are you excited by the buzz of a fast-paced environment? Are you searching for a chance to develop your understanding of popular electronic medical record (EMR) software and the opportunity to grow your career within healthcare? If so, our client is looking for a  Patient Financial Representative.

The ideal  Patient Financial Representative will have 1-2 years’ experience with insurance billing, collections, payment, and reimbursement verification and / or refunds.

Patient Financial Representative Responsibilities :

Collect balances due from payors ensuring proper reimbursement for all services

Identifies and forwards proper account denial information to the designated departmental liaison. Dedicates efforts to ensure a proper denial resolution and timely turnaround

Maintain an active knowledge of all collection requirements by payors

Works collector queue daily utilizing appropriate collection system and reports

Demonstrates knowledge of standard bill forms and filing requirements

Identify and resolve underpayments with the appropriate follow up activities within payor timely guidelines

Identify and resolve credit balances with the appropriate follow up activities within payor timely guidelines

Identify and communicate trends impacting account resolution

Patient Financial Representative Requirements :

2 years’ experience with insurance billing, collections, payment, and reimbursement verification and / or refunds

Working knowledge of UB-04 claim forms

Working knowledge of ICD-10 and CPT codes

Understanding of HIPAA guidelines / regulations